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General NPI Number Information
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NPI Number | 1457905275
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Entity Type | Individual
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Provider Name | MOHSEN ABDELSATTAR ABDELAZI FARGHALY MD
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Gender | Male
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Dates
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Enumeration Date | 07/30/2019
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Last Update Date | 07/21/2024
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Provider Practice Location Address
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Address Line | CLEVELAND CLINIC CHILDREN'S HOSPITAL NICU
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City | CLEVELAND
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State | OH
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Zip | 44195
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Country | US
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Telephone | 216-444-2568
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Fax |
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Provider Business Mailing Address
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Address Line | CLEVELAND CLINIC CHILDREN'S HOSPITAL NEONATOLOGY DIVISION
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City | CLEVELAND
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State | OH
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Zip | 44195-1900
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Country | US
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Telephone | 216-444-2200
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 35.142800
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 2080N0001X
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Taxonomy Name | Neonatal-Perinatal Medicine Physician
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License Number | 35.142800
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License Number State | OH
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